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Scientifica
Volume 2016, Article ID 2698362, 4 pages
http://dx.doi.org/10.1155/2016/2698362
Research Article

Hb A1c Separation by High Performance Liquid Chromatography in Hemoglobinopathies

Department of Hematology, Apollo Hospitals, No. 21, Off Greams Road, Greams Lane, Chennai 600006, India

Received 2 December 2015; Revised 16 January 2016; Accepted 24 January 2016

Academic Editor: Ali S. Calikoglu

Copyright © 2016 Vani Chandrashekar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hb A1c measurement is subject to interference by hemoglobin traits and this is dependent on the method used for determination. In this paper we studied the difference between Hb A1c measured by HPLC in hemoglobin traits and normal chromatograms. We also studied the correlation of Hb A1c with age. Hemoglobin analysis was carried out by high performance liquid chromatography. Spearman’s rank correlation was used to study correlation between A1c levels and age. Mann-Whitney test was used to study the difference in Hb A1c between patients with normal hemoglobin and hemoglobin traits. A total of 431 patients were studied. There was positive correlation with age in patients with normal chromatograms only. No correlation was seen in Hb E trait or beta thalassemia trait. No significant difference in Hb A1c of patients with normal chromatograms and patients with hemoglobin traits was seen. There is no interference by abnormal hemoglobin in the detection of A1c by high performance liquid chromatography. This method cannot be used for detection of A1c in compound heterozygous and homozygous disorders.